IMPACT CHILD BEHAVIORAL SERVICES, INC.
NPI 1235940321
Behavior Analyst in Huntersville, NC

Active since January 16, 2025
16325 NORTHCROSS DR STE A, HUNTERSVILLE, NC 28078(704) 773-8115 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Child Behavioral Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT CHILD BEHAVIORAL SERVICES, INC. (NPI 1235940321), doing business as Kingdom Kids Impact Child Behavioral Services, is a healthcare organization registered as a behavior analyst in Huntersville, North Carolina and active in the NPI registry since January 2025. The organization lists Tanisha Dacosta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235940321
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameIMPACT CHILD BEHAVIORAL SERVICES, INC.
Location Address16325 NORTHCROSS DR STE AHuntersville, NC 28078-5044
Mailing Address16325 Northcross Dr Ste AHuntersville, NC 28078-5044 · (704) 773-8115
Organization SubpartNo
Authorized OfficialTanisha DacostaCeo · (704) 773-8115
Enumeration DateJanuary 16, 2025
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1235940321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
16325 NORTHCROSS DR STE A, Huntersville, NC 28078

Other Names 1

Doing Business AsKingdom Kids Impact Child Behavioral Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
16325 NORTHCROSS DR STE A
HUNTERSVILLE, NC 28078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Child Behavioral Services, Inc.'s NPI number?

The NPI number for Impact Child Behavioral Services, Inc. is 1235940321. It was assigned to this organization in the NPPES registry on January 16, 2025. The provider is doing business as Kingdom Kids Impact Child Behavioral Services.

Where is Impact Child Behavioral Services, Inc. located?

Impact Child Behavioral Services, Inc. is located at 16325 Northcross Dr Ste A, Huntersville, NC 28078. The listed phone number is (704) 773-8115.

What is Impact Child Behavioral Services, Inc.'s specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Impact Child Behavioral Services, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC list Impact Child Behavioral Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impact Child Behavioral Services, Inc. was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.